§16-2J-2. Definitions.
For the purposes of this article, the following definitions
apply:

(1) "Dependent" has the same meaning set forth in subsection
(d), section one-a, article sixteen, chapter thirty-three of this
code;

(2) "Family" means a subscriber and his or her dependents;
(3) "Medical home" means a team approach to providing health
care and care management. Whether involving a primary care
provider, specialist or sub-specialist, care management includes
the development of a plan of care, the determination of the
outcomes desired, facilitation and navigation of the health care
system, provision of follow-up and support for achieving the
identified outcomes. The medical home maintains a centralized,
comprehensive record of all health related services to provide
continuity of care;

(4) "Participating provider" means a provider under this
article that has been granted a license under this article to
operate as part of the pilot program;

(5) "Primary care" means basic or general health care which
emphasizes the point when the patient first seeks assistance from
the medical care system and the care of the simpler and more common
illnesses;

(6) "Provider" has the same meaning as "ambulatory health care
facility" set forth in subsection (b), section two, article two-d of this chapter or "private office practice" as set forth in
subsection (a)(1), section four of said article;

(7) "Qualifying event" means loss of coverage due to: (i)
Emancipation and resultant loss of coverage under a parent or
guardian's plan; (ii) divorce and loss of coverage under the former
spouse's plan; (iii) termination of employment and resultant loss
of coverage under an employer group plan: Provided, That any
rights of coverage under a COBRA continuation plan as that term is
defined in section three-m, article sixteen, chapter thirty-three
of this code, shall not be considered coverage under an employer
group health plan; (iv) involuntary termination of coverage under
a group health benefit plan except for termination due to
nonpayment of premiums or fraud by the insured; or (v) exhaustion
of COBRA benefits;

(8) "Subscriber" means any individual who subscribes to a
prepaid program approved and operated in accordance with the
provisions of this article, including an employee of any employer
that has purchased a group enrollment on behalf of its employees.